Provider Demographics
NPI:1114278017
Name:GAO, EILEEN TONGLIANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:TONGLIANG
Last Name:GAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8271 CORNELL RD STE 710
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2293
Mailing Address - Country:US
Mailing Address - Phone:513-791-0030
Mailing Address - Fax:513-791-0031
Practice Address - Street 1:8271 CORNELL RD STE 710
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-2293
Practice Address - Country:US
Practice Address - Phone:513-791-0030
Practice Address - Fax:513-791-0031
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH214611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice